NPIMap

Organization Active NPI

Easter Seals-Goodwill Northern Rocky Mountain, Inc.

  • Case Management Agency
  • Sheridan, WY
National Provider Identifier
1942537543
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
EASTER SEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC.
Practice address
991 Joe St
Sheridan, WY 82801-3163
Phone
(307) 672-2816
Fax
(307) 672-3896
NPI assigned
Nov 3, 2009
Organization subpart
Yes
Parent organization
EASTER SEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Dorr
Title
Director of Billing & Reimbursement
Phone
(406) 771-3754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

991 Joe St
Sheridan, WY 82801-3163

Mailing address

PO Box 2509
Great Falls, MT 59403-2509
Phone (406) 761-3680

National Provider Directory

National Provider Directory
Tax ID family
Montana Easter Seal Soc25 organizations share this tax ID, including this one
Part of
Montana Easter Seal Soc

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

991 Joe St
Sheridan, WY 82801
Phone (307) 672-2816

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517788800000",
    "number": "1942537543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2509",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594032509",
            "telephone_number": "406-761-3680",
            "fax_number": "406-761-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 JOE ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013163",
            "telephone_number": "307-672-2816",
            "fax_number": "307-672-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTER SEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC",
        "enumeration_date": "2009-11-03",
        "last_updated": "2018-02-05",
        "status": "A",
        "authorized_official_last_name": "DORR",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING & REIMBURSEMENT",
        "authorized_official_telephone_number": "406-771-3754"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.